Diabetic retinopathy Treatments

Ozurdex Improves Vision in Diabetic Patient | Treatment for DME

Patient with legal blindness from diabetic macular edema can now read months after treatment with Ozurdex.

Ozurdex to treat diabetic macular edema improved my patient’s vision in just 3 months!  AB first came to my office in November 2014.  He was complaining of blurry vision (in fact, he was legally blind).

AB was diagnosed with Type 1 (Insulin Dependent Diabetes Mellitus) 8 years ago.  He did not have regular eye exams.

Legally Blind

His vision in both eyes, with correction, was 20/400 at his initial visit with me in November (2014).  He had significant diabetic macular edema (also known as DME or CSME) causing the loss of vision.  He barely has cataracts.

Standard fluorescein angiography was performed.  The OCT’s from November are included below.

Treatment for Diabetic Macular Edema

I felt it best to treat him with a combination of Avastin and then Ozurdex.  Intraocular injections of Avastin were given to each eye followed by Ozurdex two weeks later.

Before Treatment with Ozurdex

Diabetic Macular Edema Improved with Ozurdex, Randall Wong, M.D., Retina Specialist, Fairfax, Virginia 22031Right
Diabetic Macular Edema Treated with Ozurdex, Randall Wong, M.D., Retina Specialist, Fairfax, Virginia 22031Left

 After Treatment with Ozurdex

Diabetic Macular Edema After Ozurdex, Randall Wong, M.D., Retina Specialist, Fairfax, Virginia 22030Left


What Does This Mean?

This is a remarkable case where there has been significant and rapid restoration of vision.  This case also reminds me of the many options we now have for treating diabetic macular edema….not just laser.

In this case, I preferred a combination of Avastin and Ozurdex because of the significant amount of macular edema and the dramatic loss of vision of both eyes.

I am pleasantly surprised by both the rapidity of improvement and the amount of vision improvement!

The Avastin may or may not be needed, but in my experience starts the improvement faster.  The Ozurdex will continue to treat the macular edema for up to four months.   This has the potential of reducing the number of office visits to a minimum.

The diabetic macular edema could return at any time.  I’ll need to monitor AB for any signs of recurrence.  If the swelling does recur, he may need additional injections.

By Randall Wong, M.D.

As a retina specialist, I've been very successful with my websites to educate my patients about what I do professionally.

I am a father of five, have a passion for SEO, love Dunkin' Donuts and don't care for Starbucks coffee, love tennis, but only like to watch golf. I'm a huge youth ice hockey supporter and love Labrador retrievers.

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